System, Kit and Apparatus for Attachment of External Fixators for Bone Realignment

ABSTRACT

The present invention includes a system, kit and apparatus to aid in the realignment of one or more bones of a patient. The present invention provides a substantially rigid orthopedic stabilization scaffold for attachment of one or more external fixators for the realignment of one or more bones of a patient. The orthopedic stabilization scaffold includes a first anchorable frame and a second anchorable frame that are removably attachable to an operating table and connected adjustably by one or more crossbars.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Continuation Application of U.S. patentapplication Ser. No. 13/898,084 filed May 20, 2013, which is aContinuation Application of U.S. patent application Ser. No. 11/521,813filed Sep. 15, 2006, now U.S. Pat. No. 8,486,068 issued Jul. 16, 2013,the entire contents of each of which are incorporated herein byreference.

TECHNICAL FIELD OF THE INVENTION

The present invention relates in general to the field of skeletalfracture reduction and, more particularly, to an adjustable radiolucentscaffold to aid in the stabilization and reduction of pelvic ringfractures.

BACKGROUND OF THE INVENTION

Without limiting the scope of the invention, its background is describedin connection with orthopedic fracture reduction and stabilizationscaffolding as an example. Pelvic fractures are complex injuries withsignificant associated morbidity and mortality. Surgical management ofpelvic fractures is challenging.

Generally, the pelvic ring consists of 2 innominate bones connectedanteriorly at the symphysis pubis and posteriorly to the sacrum. Thepelvic bones are held in position by strong ligaments that connect thesacrum and ilium; that connect the sacrum and ischium; that connect the2 pubic bones at the symphysis pubis (a movable articular joint withouta synovial membrane); and that connect the sacrum and coccyx. Inaddition to holding the pelvic bones into position, the ligamentsstabilize the pelvis and assist and/or resist in movement, rotation,external rotation forces, sagittal plane rotational deformities andvertical shearing of the pelvis. In addition, several important musclegroups are about the pelvis to impart stability to the pelvic ring,e.g., muscles of the pelvic floor, the levator ani muscle, thepiriformis muscle and the coccygeus muscles.

Pelvic fractures are generally the result of severe trauma and bluntimpacts on the pelvic girdle, which occur most often, for example, as aresult of traffic accidents or falls. Patients who sustain pelvic ringdisruptions are at risk for a myriad of acute and long termcomplications, such as exsanguinating hemorrhage, neurologicdysfunction, sexual dysfunction, leg length discrepancy, chronic pain,thrombo-embolic disease, chronic low back pain, limp and poor functionaloutcome. As such, patients must be transported to trauma centers forimmediate surgical intervention as pelvic fractures are oftenaccompanied by massive blood loss and internal bleeding that may resultin death. In addition to the pelvic fracture, many patients presentassociated primary organ system injuries. Therefore, it is necessary tostabilize a fractured pelvis to reduce further bleeding and injury.Recent advances in treatment of these difficult injuries include the useof percutaneous methods of pelvic fracture stabilization.

Treatments require the fractured pelvic bones to be physically moved andaligned. The ligaments and muscles of the pelvis resist the movement andalignment of the pelvic bones. External fixation devices may be attachedto the fractured bones and aid in the alignment and may be used to holdthem in position until the patient is stable enough to undergo internalfixation surgical procedures. Once aligned, internal fixation is thenused to provide stabilization for the pelvic ring fractures as the bonesheal.

Currently, the technique of percutaneous screw fixation of pelvic ringdisruptions involves the use of instruments placed against or into thebone through small incisions, guided by fluoroscopy. These instrumentsare used to re-align fractured bones while definitive stabilization isobtained using percutaneously placed cannulated screws. Successfulpercutaneous stabilization requires that the surgeons achieve andmaintain an acceptable reduction, or alignment, of the injured bonewhile a screw is passed across the fracture. In most cases, manualtraction on the leg is used to achieve fracture reduction. In manycases, metal surgical instruments are introduced through small stabincisions in order to push or pull the bone, to improve alignment. Inall cases, fracture reduction is achieved through use of manual pressureby the surgeon's arms, or by traction applied through pins placed intothe patient's bones. The pressure required to correct the fracturedeformity is often substantial, since deforming forces acting on thefracture include major muscle groups about the patient's hip, lowerabdomen and back.

While the surgeon or surgical assistant holds the reduction, anothersurgeon must accurately place a guide wire over which a cannulated screwwill pass. Errant wire or screw placement can injure surrounding nerves,vessels or viscera. Placement of the guide wire and screw rely uponmulti-planar fluoroscopic imaging to ensure accuracy. Thus, the surgicalteam includes of one or more surgeons focused on achieving and holding aperfect reduction, one surgeon focused on accurate, rapid placement of aguide wire and screw, and a skilled radiology technician moving afluoroscope into multiple positions to ensure reduction is perfect andscrew placement is accurate.

Traditional skeletal traction using a metal pin in the tibia or femur issometimes used to improve alignment of pelvic fractures. Some currentlymarketed “fracture tables” are designed for this type of use. However,uni-planar longitudinal traction on the leg is often not sufficient toachieve perfect reduction of the fracture. Most pelvic fractures are notdisplaced in a single plane in line with the leg. Longitudinal tractionmay offer gross corrections of some displacements, but in most cases,multi-planar corrections are necessary. And since fracture tables do notallow the intact portions of the pelvis to be anchored into place, thepull of traction often results in an unacceptable tilt of the pelvis.

The foregoing problems have been recognized for many years and whilenumerous solutions have been proposed, none of them adequately addressall of the problems in a single device, e.g., skeletal traction toimprove alignment of pelvic fractures.

SUMMARY OF THE INVENTION

The present inventors recognized a need for radiolucent system anddevice that could be used to aid in the placement of bone pins at avariety of planes and positions to enable the multi-planar alignment offractured bones, while holding the fractured bones firmly in place tominimize blood loss, lessen soft tissue dissection, and decrease therisk of wound complications after surgery.

The present invention is a pelvic reduction system to apply non-poweredskeletal traction to the fractured pelvis during surgery in order toimprove alignment of the bone and to facilitate fracture stabilization.The system consists of two semi-circular rings made of a radiolucentmaterial, e.g., carbon fiber. The two rings are clamped securely to aradiolucent operating table and crossbars of carbon fiber then link thetwo rings to form a rigid “box” or “cage” over the patient's lowerabdomen and pelvis to form the anchoring point for reductioninstruments. The present invention allows the surgeon to apply tractionin several planes to correct fracture deformity and then hold thecorrection until definitive fixation with screws or plates can beobtained.

The present invention provides a substantially rigid orthopedicstabilization scaffold for attachment of one or more external fixatorsfor the realignment of one or more bones of a patient. The orthopedicstabilization scaffold includes a first and a second anchorable framesthat are removably attachable to an operating table and connectedadjustably by one or more crossbars.

The present invention provides a method of treating a patient using anorthopedic fracture reduction scaffold by connecting one or moreexternal fixators to one or more bones and an orthopedic fracturereduction scaffold. The orthopedic fracture reduction scaffold includesa first and a second anchorable frame connected adjustably to anoperating table and connected by one or more crossbars. The orthopedicfracture reduction scaffold forms a substantially rigid scaffold forattachment of one or more external fixators to realign the one or morebones of a patient. The one or more bones can then be aligned andsubsequently stabilized by attaching one or more orthopaedic implants,screws, plates, bolts or a combination thereof. The aligning of the oneor more bones may include adding, withdrawing, pushing, pulling, moving,or shifting the one or more external fixators to position, align andhold the bones.

In addition, the present invention provides a method of assembling anorthopedic fracture reduction scaffold on an operating table. A firstanchorable frame and a second anchorable frame are attached to anoperating table and connected by one or more crossbars. This forms asubstantially rigid orthopedic fracture reduction scaffold for theattachment of one or more external fixators to aid in the realignment ofone or more bones of a patient.

The present invention includes an orthopedic fracture stabilizationscaffold kit. The kit includes a first anchorable frame adapted to fitan operating table, a second anchorable frame adapted to fit theoperating table and one or more crossbars. The crossbars are adapted toconnect removably to the first anchorable frame and the secondanchorable frame to form a substantially rigid orthopedic fracturestabilization scaffold. The substantially rigid orthopedic fracturestabilization scaffold can then be used for attachment of one or moreexternal fixators for the realignment of one or more bones of a patient.

BRIEF DESCRIPTION OF THE DRAWINGS

For a more complete understanding of the features and advantages of thepresent invention, reference is now made to the detailed description ofthe invention along with the accompanying figures and in which:

FIG. 1 is a side view of a portion of the one embodiment of the presentinvention;

FIG. 2 is an isometric view of one embodiment of the present invention;

FIG. 3 is images of the rails of the present invention;

FIGS. 4a and 4b are a side view of a portion of the one embodiment ofthe present invention;

FIGS. 5a and 5b are clamps used with the present invention;

FIGS. 6a, 6b and 6c are images of clamps that may be used with thepresent invention;

FIGS. 7a, 7b, 7c and 7d are images of tools that may be used with thepresent invention; and

FIG. 8 is an image of the present invention in operation.

DETAILED DESCRIPTION OF THE INVENTION

While the making and using of various embodiments of the presentinvention are discussed in detail below, it should be appreciated thatthe present invention provides many applicable inventive concepts thatcan be embodied in a wide variety of specific contexts. The terminologyused and specific embodiments discussed herein are merely illustrativeof specific ways to make and use the invention and do not delimit thescope of the invention.

To facilitate the understanding of this invention, a number of terms aredefined below. Terms defined herein have meanings as commonly understoodby a person of ordinary skill in the areas relevant to the presentinvention. Terms such as “a”, “an” and “the” are not intended to referto only a singular entity, but include the general class of which aspecific example may be used for illustration. The terminology herein isused to describe specific embodiments of the invention, but their usagedoes not delimit the invention, except as outlined in the claims.

The present invention provides a substantially rigid orthopedicstabilization scaffold for attachment of one or more external fixatorsfor the realignment of one or more bones of a patient. The orthopedicstabilization scaffold includes first and second anchorable frames thatare removably attachable to an operating table and connected adjustablyby one or more crossbars.

Generally, the orthopedic stabilization scaffold is constructed from ormade with radiolucent materials. For example, the first anchorableframe, the second anchorable frame and/or the one or more crossbars maybe constructed using carbon fiber or carbon composite; however,composites, plastics, polymers, Kevlar, nylons, resins (e.g., polyetherimide) may also be used. Although, the orthopedic stabilization scaffoldis designed to be radiolucent, other embodiments may have no need to beradiolucent and may be constructed from metals or alloys, e.g.,stainless steel, steel, iron, titanium or combinations thereof.Similarly, some applications partially radiolucent and include segmentsor areas that are constructed from radiolucent materials and areasconstructed from radio-opaque materials. For example, in someembodiments, portions of the first anchorable frame and the secondanchorable frame may be made from radiolucent materials, while the oneor more crossbars are made in part or entirely from radio-opaquematerials. Alternatively, segments of the first anchorable frame and/orthe second anchorable frame may be made from radiolucent materials,while the other portions may be made from a radio-opaque material.

FIG. 1 is a side view of a portion of the one embodiment of the presentinvention. The orthopedic stabilization scaffold 10 includes a firstanchorable frame 12. The first anchorable frame 12 has a first rail 14and a second rail 16 that are curved in concentric arcs and areconnected to each other by connecting rails 18. The number and positionof connecting rails 18 may be varied as necessary. A bottom rail 20connects the first outer end 22 and second outer end 24 of the firstrail 14 and the first inner end 26 and second inner end 28 of the secondrail 16. The first outer end 22 is positioned about 9 inches from thefirst inner end 26 along the bottom rail 20. The first inner end 26 ispositioned about 18 inches along the bottom rail 20 from the secondinner end 28. The second inner end 28 is positioned about 9 inches alongthe bottom rail 20 from the second outer end 24. The first outer end 22is about 36 inches from the second outer end 24. The first outer end 22,the second outer end 24, the first inner end 26 and the second inner end28 extend (e.g., between about 2 and 8 inches and commonly about 6inches) beyond the bottom rail 20 so that it can be secured to theoperating table (not pictured). The connecting rails 18 are 18 incheslong and connect the first rail 14 and the second rail 16. The distancefrom the bottom rail 20 to the top of the first rail 14 may be anydistance dictated by the specific application, e.g., between about 6 and24 inches and commonly 16 inches. The dimensions are exemplar in natureand the skilled artisan will know that the lengths and distances may bealtered as necessary for the particular application. For example, theconnecting rails 18 may be between 6 and 24 inches long. Furthermore,distance between the first outer end 22, the second outer end 24, thefirst inner end 26 and the second inner end 28 may be between 6 and 24inches.

FIG. 2 is an isometric view of one embodiment of the present invention.The orthopedic stabilization scaffold 10 includes a first anchorableframe 12 and a second anchorable frame 32. The first anchorable frame 12has a first rail 14 and a second rail 16 that are curved in concentricarcs and are connected to each other by connecting rails 18. The numberand position of connecting rails 18 may be varied as necessary. A bottomrail 20 connects the first outer end 22 and second outer end 24 of thefirst rail 14 and the first inner end 26 and second inner end 28 of thesecond rail 16. The first outer end 22, the second outer end 24, thefirst inner end 26 and the second inner end 28 extend beyond the bottomrail 20. The second anchorable frame 32 has a first rail 34 and a secondrail 36 that are curved in concentric arcs and are connected to eachother by connecting rails 38. The number and position of connectingrails 38 may be varied as necessary. A bottom rail 40 connects the firstouter end 42 and second outer end 44 of the first rail 34 and the firstinner end 46 and second inner end 48 of the second rail 36. The firstouter end 42 is positioned about 9 inches from the first inner end 46along the bottom rail 40. The first inner end 46 is positioned about 18inches along the bottom rail 40 from the second inner end 48. The secondinner end 48 is positioned about 9 inches along the bottom rail 40 fromthe second outer end 44. The first outer end 42 is about 36 inches fromthe second outer end 44. The first outer end, the second outer end 44,the first inner end 46 and the second inner end 48 extend beyond thebottom rail 40. The first outer end 22 and 42, the second outer end 24and 44, the first inner end 26 and 46 and the second inner end 28 and 48are secured to opposite sides of the operating table 50. The firstanchorable frame 12 and the second anchorable frame 32 are connected bycrossbars 52

Generally, the substantially rigid orthopedic stabilization scaffold 10includes a first anchorable frame 12 and a second anchorable frame 32that are substantially perpendicular to the surface of the operatingtable 50 and substantially parallel to each other. Other embodiments mayinclude a first anchorable frame 12 and a second anchorable frame 32that are independently positioned at angles more or less thanperpendicular relative to the operating table. The exact angle of thefirst anchorable frame 12 and the second anchorable frame 32 may bebetween about 30 degrees and about 150 degrees depending on theparticular application and procedure.

Each crossbar is positioned generally perpendicular relative to thefirst anchorable frame 12 and the second anchorable frame; however, eachcrossbar may be positioned at any angle between about 20 degrees andabout 160 degrees depending on the particular application and procedurerelative to the first anchorable frame 12 and the second anchorableframe 32 to form a substantially rigid orthopedic stabilizationscaffold. The general cross sectional shape of the crossbars 52 arecircular; however, any cross sectional shape may be used, e.g., atriangle, an oval, a circle, a semi-circle, a rectangle, a polygon, afree form shape. In addition, the cross sectional shape may change as afunction of the length of the crossbar 52. The number of crossbars 52necessary to form a substantially rigid orthopedic stabilizationscaffold 10 will depend on particular application. In addition,crossbars 52 can be added to the scaffold 10 to allow the connection ofone or more external fixators, extensions, rods or clamps as necessary.

The shape of the first anchorable frame 12 and the second anchorableframe 32 may independently be an arc; however, other shapes may be usedlimited only by the particular need of the application. For example, thefirst anchorable frame 12 and/or the second anchorable frame 32 may bein the shape of a portion of an oval, a semi-circle, a portion of arectangular, a free form shape or a combination thereof and may have arounded shape, a pointed shape, a two-centered shape, a double curve orbe in the shape of an upper arc and a lower arc, a triangle, anacute-angle triangles, a flattened circle or elliptical; and so forth.Furthermore, it is not necessary that the first anchorable frame 12 andthe second anchorable frame 32 have the same shape only that crossbars52 be connectable to the first anchorable frame 12 and the secondanchorable frame 32, e.g., the first anchorable frame 12 may have anelliptical shape connecting by numerous crossbars 52 to a polygonalsecond anchorable frame.

FIG. 3 is a side view of a portion of one embodiment of the presentinvention. The orthopedic stabilization scaffold 10 includes a firstanchorable frame 12. The first anchorable frame 12 has a first rail 14and a second rail 16 that are curved in concentric arcs and areconnected to each other by connecting rails 18. The number and positionof connecting rails 18 may be varied as necessary. A bottom rail 20connects the first outer end 22 and second outer end 24 of the firstrail 14 and the first inner end 26 and second inner end 28 of the secondrail 16. The first outer end 22 is positioned about 9 inches from thefirst inner end 26 along the bottom rail 20. The first inner end 26 ispositioned about 18 inches along the bottom rail 20 from the secondinner end 28. The second inner end 28 is positioned about 9 inches alongthe bottom rail 20 from the second outer end 24. The first outer end 22,the second outer end 24, the first inner end 26 and the second inner end28 extend beyond the bottom rail 20 so that it can be secured to theoperating table 50 using mounts 53. A clamp 54 can be connected to thefirst rail 14 of the first anchorable frame 12, to the second rail 16(e.g., clamp 56) and/or connecting rails 18 (e.g., clamp 58). The clamps54, 56, 58 may be adjusted as needed.

FIGS. 4a and 4b are images of the rails of the present invention. FIG.4a is an isometric view of one of the rails 30 used in the presentinvention. The rail 30 may be of any diameter necessary, e.g., betweenabout 3 mm and 20 mm and commonly 11 mm. FIG. 4b is a side view of oneof the rails 30 of the present invention. The rail 30 may be of anylength necessary, e.g., between about 6 inches and 36 inches andcommonly 6, 12, 18, 20, 24, 30 and 36 inches.

FIGS. 5a and 5b are clamps used with the present invention. Commonclamps include bar to bar clamps FIG. 5a used to connect bars and pin tobar clamps as in FIG. 5b used to connect pins and bars. Externalfixators may be attached to the substantially rigid orthopedicstabilization scaffold 10 (not shown) at the first anchorable frame, thesecond anchorable frame, the one or more crossbars 52 (not shown) or acombination thereof as necessary for the fracture reduction andfixation. The external fixators are common in the art and well known tothe skilled artisan.

In addition, specialized clamps as seen in FIGS. 6a, 6b and 6c may beused with the present invention. FIG. 6a is a push-pull clamp that isused with a push or pull tool. FIG. 6b is a mechanical clamp that uses agear and sprocket mechanism to push or pull a tool. FIG. 6c is a clamp60 having a pin 62 that passes through the clamp 60 and a wing nut 64 tolimit the movement of the pin 62.

FIGS. 7a, 7b, 7c and 7d are images of tools that may be used with thepresent invention. FIG. 7a is an image of a ball spike, FIG. 7b is animage of a screw pin, FIG. 7c is an image of a jokevl and FIG. 7d is animage of a bone hook.

Generally, an external fixator includes a clamp, an adaptor, a pin orcombination thereof. Examples of an external fixator include distractorsingle hole, distractor double hole, distractor open hole, spanner,k-wire, uniaxial hinge joint, biaxial hinge joint, link joints, straightrod (knurled), z-shaped rods, l-shaped rod (knurled), threaded rod,tubular rod, ordinary telescopic rods, graduated telescopic rods,compression distraction device, repofix device, single pin clamp, doublepin clamp, open single pin clamp, twin adjustable clamp straight orcurved, transverse clamp, tube to tube clamp, small connecting clamp,front threaded pins, front threaded pins (shanz screws), front threadedpins (blunt tip), cancellous front threaded pins, posts, hinges andcombinations thereof. Specific external fixators include an adaptor, aclamp, a pin, a traction pin device, a ball-spike pusher device, anextension and other surgical devices used in fracture reduction. Theorthopedic stabilization scaffold 10 can be used to anchor one or morepercutaneous fracture reduction instruments.

FIG. 8 is an illustration of the top view of the present invention inoperation. The orthopedic stabilization scaffold 10 is positioned aboutpatient 66. The orthopedic stabilization scaffold 10 includes a firstanchorable frame 12 and a second anchorable frame 32. The firstanchorable frame 12 has a first rail 14 and a second rail (not shown)that are curved in concentric arcs and are connected to each other byconnecting rails (not shown). Similarly, the second anchorable frame 32has a first rail 34 and a second rail (not shown) that are curved inconcentric arcs and are connected to each other by connecting rails (notshown). A bottom rail (not shown) is connects to each of the firstanchorable frame 12 and the second anchorable frame 32 to secured themto opposite sides of the operating table 50. The first anchorable frame12 and the second anchorable frame 32 are connected by crossbars 52using bar-to-bar clamps 68. Pins 70 are inserted into the patient 66 andconnected using the pin to bar clamp 72.

Imaging devices may be used in conjunction with the present invention toaid in the alignment of bones or portions of bones and in positioningthe one or more external fixators or a combination thereof. The skilledartisan will recognize the type of imaging devices that may be used andinclude multi-planar fluoroscopic imaging devices, x-ray imaging devicesand the like.

The present invention provides that traction pins, ball-spike pushers orother surgical instruments can used, as they are used currently, toachieve fracture reduction. For example, these instruments are placedagainst the bone or into it using small stab incisions. Placement isguided by multi-planar fluoroscopic imaging, as is currently done.Manual pressure will be used to reduce the fracture fragments. Once bonealignment is achieved, these instruments can then be clamped to thepresent invention using commercially available external fixator systemclamps, and anchored in position. Small corrections in alignment can beperformed by withdrawing or pushing on threaded pins. Then, percutaneousfracture stabilization using standard orthopaedic implants can proceed.

The orthopedic fracture reduction scaffold of the present invention maybe used to aid in positioning a variety of bones including the pelvis,the spine, the ribs, the femur, fibula, tibia, humerus, radius, ulna andso forth. In addition to humans, the orthopedic fracture reductionscaffold may be used to position bones of a variety of animals, e.g.,horses, cows, birds, dogs, cats and so forth.

It is contemplated that any embodiment discussed in this specificationcan be implemented with respect to any method, kit, apparatus or systemof the invention, and vice versa.

It will be understood that particular embodiments described herein areshown by way of illustration and not as limitations of the invention.The principal features of this invention can be employed in variousembodiments without departing from the scope of the invention. Thoseskilled in the art will recognize, or be able to ascertain using no morethan routine experimentation, numerous equivalents to the specificprocedures described herein. Such equivalents are considered to bewithin the scope of this invention and are covered by the claims.

All publications and patent applications mentioned in the specificationare indicative of the level of skill of those skilled in the art towhich this invention pertains. All publications and patent applicationsare herein incorporated by reference to the same extent as if eachindividual publication or patent application was specifically andindividually indicated to be incorporated by reference.

The use of the word “a” or “an” when used in conjunction with the term“comprising” in the claims and/or the specification may mean “one,” butit is also consistent with the meaning of “one or more,” “at least one,”and “one or more than one.” The use of the term “or” in the claims isused to mean “and/or” unless explicitly indicated to refer toalternatives only or the alternatives are mutually exclusive, althoughthe disclosure supports a definition that refers to only alternativesand “and/or.” Throughout this application, the term “about” is used toindicate that a value includes the inherent variation of error for thedevice, the method being employed to determine the value, or thevariation that exists among the study subjects.

As used in this specification and claim(s), the words “comprising” (andany form of comprising, such as “comprise” and “comprises”), “having”(and any form of having, such as “have” and “has”), “including” (and anyform of including, such as “includes” and “include”) or “containing”(and any form of containing, such as “contains” and “contain”) areinclusive or open-ended and do not exclude additional, unrecitedelements or method steps.

The term “or combinations thereof” as used herein refers to allpermutations and combinations of the listed items preceding the term.For example, “A, B, C, or combinations thereof” is intended to includeat least one of: A, B, C, AB, AC, BC, or ABC, and if order is importantin a particular context, also BA, CA, CB, CBA, BCA, ACB, BAC, or CAB.Continuing with this example, expressly included are combinations thatcontain repeats of one or more item or term, such as BB, AAA, MB, BBC,AAABCCCC, CBBAAA, CABABB, and so forth. The skilled artisan willunderstand that typically there is no limit on the number of items orterms in any combination, unless otherwise apparent from the context.

All of the compositions and/or methods disclosed and claimed herein canbe made and executed without undue experimentation in light of thepresent disclosure. While the compositions and methods of this inventionhave been described in terms of preferred embodiments, it will beapparent to those of skill in the art that variations may be applied tothe compositions and/or methods and in the steps or in the sequence ofsteps of the method described herein without departing from the concept,spirit and scope of the invention. All such similar substitutes andmodifications apparent to those skilled in the art are deemed to bewithin the spirit, scope and concept of the invention as defined by theappended claims.

What is claimed is:
 1. An orthopedic stabilization scaffold apparatuscomprising: a first and a second anchorable frame connected adjustablyby one or more crossbars and removably attachable to an operating tableto form a substantially rigid orthopedic stabilization scaffold forattachment of one or more external fixators for realignment of one ormore bones of a patient.
 2. The apparatus of claim 1, wherein theorthopedic stabilization scaffold comprises a radiolucent materialelected from carbon fiber, aluminum, an alloy, a composite, plastic,polymer, Kevlar, nylon, polyether imide resin and combinations thereof.3. The apparatus of claim 1, wherein the first anchorable frame, thesecond anchorable frame or both the first and the second anchorableframes are substantially perpendicular to a surface of the operatingtable; or wherein the first anchorable frame and the second anchorableframe independently comprise a shape selected from a polygon, an oval, asemi-circle, a rectangle, a free form shape or a combination thereof. 4.The apparatus of claim 1, wherein one or more external fixators attachto the first anchorable frame, the second anchorable frame, the one ormore crossbars, or a combination thereof.
 5. The apparatus of claim 1,wherein the apparatus is configured to aid in a realignment of one ormore bones of a pelvis, spine, ribs, femur, fibula, tibia, humerus,radius, or ulna.
 6. The apparatus of claim 1, wherein the one or moreexternal fixators comprise at least one of a clamp, an adaptor, a pin,an adaptor, a traction pin device, a ball-spike pusher device, anextension or other surgical device used in fracture reduction.
 7. Theapparatus of claim 1, wherein the apparatus anchors one or morepercutaneous fracture reduction instruments.
 8. A method of treating apatient using an orthopedic fracture reduction scaffold comprising thesteps of: anchoring a first anchorable frame and a second anchorableframe to an operating table, the operating table comprising a first sideopposite a second side, wherein the first side is parallel to apatient's first arm and the second side is parallel a patient's secondarm, a head side connecting perpendicularly the first side and thesecond side at a head end, wherein a patient's head is positioned at thehead end, and a foot side connecting perpendicularly the first side andthe second side at a foot end, wherein a patient's feet are positionedat the foot end; wherein the first anchorable frame comprise a firstattachment point and a second attachment point and is removablyattachable to a first location on the first side of the operating tableand the second attachment point is removably attachable to a secondlocation on the first side and opposite side of the operating table;wherein the second anchorable frame comprise a first attachment pointand a second attachment point and is removably attachable to a secondlocation on the first side of the operating table and the secondattachment point is removably attachable to a second location on thefirst side and opposite side of the operating table; connecting one ormore crossbars to the first anchorable frame and the second anchorableframe to form a substantially rigid orthopedic fracture reductionscaffold for attachment of one or more external fixators to aid in therealignment of one or more bones of a patient; connecting one or moreexternal fixators to one or more bones and an orthopedic fracturereduction scaffold comprising a first and a second anchorable frameconnected adjustably to an operating table and connected by one or morecrossbars to form a substantially rigid orthopedic fracture reductionscaffold for attachment of one or more external fixators to realign theone or more bones of a patient; and aligning the one or more bones. 9.The method of claim 8, further comprising stabilizing the one or morebones by attaching one or more orthopedic implants, screws, plates,bolts or a combination thereof.
 10. The method of claim 8, wherein thestep of aligning the one or more bones comprise adding, withdrawing,pushing, pulling, moving, or shifting the one or more external fixators.11. The method of claim 8, wherein the orthopedic fracture reductionscaffold comprises a radiolucent material selected from carbon fiber,aluminum, an alloy, a composite, plastic, polymer, Kevlar, nylon,polyether imide resin and combinations thereof.
 12. The method of claim8, wherein the orthopedic fracture reduction scaffold is adapted toattach to one or more bones of a pelvis, spine, ribs, femur, fibula,tibia, humerus, radius, or ulna of the patient.
 13. The method of claim8, wherein the first anchorable frame and the second anchorable frameindependently have a shape selected from a polygon, an oval, asemi-circle, a rectangle, a free form shape or a combination thereof orwherein the first anchorable frame, the second anchorable frame or boththe first and the second anchorable frame are substantiallyperpendicular to a surface of the operating table.
 14. The method ofclaim 8, further comprising attaching one or more percutaneous fracturereduction instruments to the orthopedic fracture reduction scaffold. 15.The method of claim 8, wherein the one or more external fixatorscomprise a clamp, a screw, an adaptor, a pin a traction pin device, aball-spike pusher device, an extension or other surgical device used toachieve fracture reduction.
 16. The method of claim 8, furthercomprising using a multi-planar fluoroscopic imaging device to positionthe one or more external fixators for alignment of the one or more bonesor a combination thereof.
 17. An orthopedic fracture stabilizationscaffold kit comprising: a first anchorable frame adapted to fit anoperating table; a second anchorable frame adapted to fit the operatingtable; and one or more crossbars adapted to connect removably to thefirst anchorable frame and the second anchorable frame to form asubstantially rigid orthopedic fracture stabilization scaffold forattachment of one or more external fixators for realignment of one ormore bones of a patient.
 18. The kit of claim 17, wherein the orthopedicfracture reduction scaffold comprises a radiolucent material selectedfrom carbon fiber, aluminum, an alloy, a composite, plastic, polymer,Kevlar, nylon, polyether imide resin and combinations thereof.
 19. Thekit of claim 17, wherein the orthopedic fracture reduction scaffold isused to reposition one or more bones of a pelvis, spine, ribs, femur,fibula, tibia, humerus, radius, or ulna of the patient.
 20. The kit ofclaim 17, further comprising the step of positioning the firstanchorable frame, the second anchorable frame or both the first and thesecond anchorable frames substantially perpendicular to the surface ofthe operating table.